Active NPI
Wenqiang Tian
- Neurology Physician
- Irvine, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- A105362
- Practice address
- 4050 Barranca Pkwy Ste 200
Irvine, CA 92604-1723 - Phone
- (949) 551-1090
- Fax
- (949) 262-5500
- NPI assigned
- Nov 23, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | A105362 | CA | Primary |
| Legal Medicine | 173000000X |
Addresses
Primary practice location
4050 Barranca Pkwy Ste 200
Irvine, CA 92604-1723
Mailing address
4050 Barranca Pkwy Ste 200
Irvine, CA 92604-1723
Phone (949) 551-1090
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Neurology
- Education
- Other, 1986
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
4050 Barranca Pkwy
Suite 200
Irvine, CA 92604-1723
Phone (949) 551-1090
Hospital & facility affiliations
- Memorialcare Saddleback Medical Center
- Memorialcare Orange Coast Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A105362 | CA | MD | Neurology Physician |
Practice roles (8 of 9)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Memorialcare Medical Foundation | Current | Accepting new patients | |
| Healthcare Partners Affiliates Medical Group | Current | Accepting new patients | |
| Healthcare Partners Affiliates Medical Group | Current | Accepting new patients | |
| Providence Health System - Southern California | Past | Accepting new patients | |
| Providence Health System Southern California | Past | Accepting new patients | |
| Torrance Memorial Medical Center | Past | Accepting new patients | |
| Orange Coast Memorial Medical Center | Past | Accepting new patients | |
| Bristol Park Medical Group, Inc | Past | Accepting new patients |
Locations
1236 N Magnolia Ave
Anaheim, CA 92801
Phone (714) 995-1000
824 E Carson St
Ste 104
Carson, CA 90745
Phone (310) 830-9706
722 Baker St
Costa Mesa, CA 92626
Phone (714) 557-6300
17360 Brookhurst St
Fountain Vly, CA 92708
Phone (657) 241-3592
4050 Barranca Pkwy
Ste 200
Irvine, CA 92604
Phone (949) 551-1090
601 Torrance Blvd
#1182
Redondo Beach, CA 90277
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Interoperability endpoints
- wtian404119@direct.memorialcare.org
Organizations & group practices 8
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Clinic/Center
- Fountain Valley, CA
- NPI 1205167350
-
- Internal Medicine Physician
- Los Angeles, CA
- NPI 1659312593
-
- Durable Medical Equipment & Medical Supplies
- Murrieta, CA
- NPI 1760057269
-
- Family Medicine Physician
- Costa Mesa, CA
- NPI 1043266760
-
- General Acute Care Hospital
- Fountain Valley, CA
- NPI 1497702575
-
- Psychiatric Hospital Unit
- San Pedro, CA
- NPI 1154349371
-
- General Acute Care Hospital
- Torrance, CA
- NPI 1902844988
-
- Skilled Nursing Facility
- Torrance, CA
- NPI 1740268713
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Fountain Valley, CA
- NPI 1497702575
-
- General Acute Care Hospital
- Laguna Hills, CA
- NPI 1275576381
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1195776000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1555027200000",
"number": "1376724005",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4050 BARRANCA PKWY STE 200",
"city": "IRVINE",
"state": "CA",
"postal_code": "926041723",
"telephone_number": "949-551-1090"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4050 BARRANCA PKWY STE 200",
"city": "IRVINE",
"state": "CA",
"postal_code": "926041723",
"telephone_number": "949-551-1090",
"fax_number": "949-262-5500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TIAN",
"first_name": "WENQIANG",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-11-23",
"last_updated": "2019-04-12",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "CA",
"license": "A105362",
"primary": true
},
{
"code": "173000000X",
"taxonomy_group": "",
"desc": "Legal Medicine",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Irvine, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.